Proximity of the Common Peroneal Nerve to the Tibial Nerve Entering the Gastrocnemius Muscle: The Implications for Calf Reduction
Proximity of the Common Peroneal Nerve to the Tibial Nerve Entering the Gastrocnemius Muscle: The Implications for Calf Reduction
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腓总神经与进入腓肠肌的胫神经的接近度：对小腿缩小术的影响
DOI：
10.1007/s00266-007-9034-5
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发表时间：
2007
影响因子：
2.4
通讯作者：
Seung
中科院分区：
文献类型：
--
作者：
K. Hwang;S. Jin;Jin Hee Hwang;Seung
本文描述了腓总神经(PN)与进入腓肠肌(NLG)的胫神经支在月国窝区的精确解剖关系和密切关系。在这项研究中，解剖了13具韩国新鲜身体的22条腿(5男8女，年龄从50岁到80岁不等)。将x轴设置为一条横线，横线横跨股骨外侧和内侧上髁。纵轴与胫骨内踝与腓骨外踝之间的垂直中线相吻合。坐骨神经从坐骨神经向上髁间线上方(−0.4 cm，+10.3 cm)发出分支，在2 0.2°±2.4°向下走行。PN横跨x轴中点(+3.4 cm，0 cm)。NLG于胫神经上(横行)线上方(0 cm，2.3 cm)分出，向下、向外走行17.7°±4.3°。NLG分叉点从胫神经到PN最近点的距离为2.5±0.5 cm。PN穿过x轴点到NLG最近点的距离为2.7±0.3 cm。在涉及处理腓肠肌外侧肌本身或腓肠肌外侧肌的神经的手术中，外科医生应该意识到在月国窝区PN与NLG非常接近。
This article describes the precise anatomic relation and close proximity of the common peroneal nerve (PN) to the tibial nerve branch entering the gastrocnemius muscle (NLG) in the popliteal region. For the study, 22 legs from 13 Korean fresh cadavers (5 men and 8 women ranging in age from 50 to 80 years) were dissected. An x-axis was set as a transverse line crossing the lateral and medial epicondyle of the femur. A longitudinal y-axis accorded with a perpendicular midline between the medial malleoulus of the tibia and the lateral malleolus of the fibula. The PN diverged from the sciatic nerve above the interepicondylar line (−0.4 cm, +10.3 cm) and ran inferolaterally at 20.2° ± 2.4°. The PN crossed the midpoint of the x-axis (+3.4 cm, 0 cm). The NLG diverged from the tibial nerve above the interepicondylar (transverse) line (0 cm, 2.3 cm) and ran inferiorly and laterally at 17.7° ± 4.3°. The distance from the diverging point of the NLG from the tibial nerve to the nearest point of the PN was 2.5 ± 0.5 cm. The distance from the point at which the PN crossed the x-axis to the nearest point of the NLG was 2.7 ± 0.3 cm. In procedures that involve handling of the lateral gastrocnemius muscle itself or the nerves to the lateral gastrocnemius, surgeons should be aware of the close proximity of the PN to the NLG in the popliteal region.